| Regimental number | 3393 |
| Place of birth | St George Queensland |
| Religion | Roman Catholic |
| Occupation | Grazier |
| Address | Yeulba, Queensland |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Winifred Robina Coughlan, 'Narbethong', Indooroopilly, Queensland |
| Enlistment date | 1 December 1916 |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A33 Ayrshire on 24 January 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |